Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $691.83 / $1,479.11	Facility		$302.00	$691.83	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $467.74 / $977.24	Professional		$223.87	$467.74	$977.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $489.78	Professional		$218.78	$239.88	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $602.56 / $851.14	Facility		$512.86	$602.56	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $416.87 / $776.25	Professional		$234.42	$416.87	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $616.60 / $831.76	Professional		$346.74	$616.60	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $416.87 / $758.58	Professional		$218.78	$416.87	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $660.69 / $812.83	Professional		$263.03	$660.69	$812.83